Provider Demographics
NPI:1295010361
Name:VY HUONG HOANG DC PC
Entity Type:Organization
Organization Name:VY HUONG HOANG DC PC
Other - Org Name:THE CHIROPRACTIC CONNECTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VY
Authorized Official - Middle Name:HUONG
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-689-5752
Mailing Address - Street 1:1440 W NORTH AVE
Mailing Address - Street 2:STE. #307
Mailing Address - City:MELROSE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60160-1422
Mailing Address - Country:US
Mailing Address - Phone:708-345-1299
Mailing Address - Fax:708-345-8480
Practice Address - Street 1:1440 W NORTH AVE
Practice Address - Street 2:STE. #307
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-1422
Practice Address - Country:US
Practice Address - Phone:708-345-1299
Practice Address - Fax:708-345-8480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-19
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011045111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty